Figure 3 - Suture with bovine pericardium in 3 layers for correction of ventricular pseudoaneurysm.
It was not possible to perform coronary artery bypass grafting, because the distal beds of the anterior descending artery were inadequate and there was an occlusion with significant calcification of the marginal artery.
After returning to normal heartbeat and adjusting blood volume, cardiopulmonary bypass was successfully discontinued. Cannula removal, protaminization, placement of mediastinal tube and pacemaker wire were performed next, in addition to hemostasis assessment and layered suture. The patient was then referred to the intensive care unit (ICU).
The patient evolved with progressive weaning of vasoactive drugs, with removal of mediastinal and right pleural tubes on the 4th postoperative day. He was discharged on the 17th postoperative day and remains stable under regular follow-up at the coronary clinic.